Beruflich Dokumente
Kultur Dokumente
estimate or any other aspect of this be received at the address below, no managed care health plan). Hospitals
collection of information, including any later than 5 p.m. on February 21, 2006. must distribute this notice at or about
of the following subjects: (1) The CMS, Office of Strategic Operations and the same time of a Medicare
necessity and utility of the proposed Regulatory Affairs, Division of beneficiary’s admission or during the
information collection for the proper Regulations Development—C, Attention: course of his or her hospital stay.
performance of the agency’s functions; Bonnie L Harkless, Room C4–26–05, Receiving this information will provide
(2) the accuracy of the estimated 7500 Security Boulevard, Baltimore, all Medicare beneficiaries with some
burden; (3) ways to enhance the quality, Maryland 21244–1850. ability to participate and/or initiate
utility, and clarity of the information to Dated: December 13, 2005. discussions concerning actions that may
be collected; and (4) the use of affect their Medicare coverage, payment,
Michelle Shortt,
automated collection techniques or and appeal rights in response to a
other forms of information technology to Director, Regulations Development Group, hospital’s or Medicare managed care
Office of Strategic Operations and Regulatory
minimize the information collection Affairs.
plan’s notification that their care will no
burden. longer continue; Frequency:
1. Type of Information Collection [FR Doc. 05–24301 Filed 12–22–05; 8:45 am]
Recordkeeping and Reporting—Other:
Request: Extension of a currently BILLING CODE 4120–01–P
Distribution; Affected Public:
approved collection; Title of Individuals or Households, Business or
Information Collection: Retiree Drug other for-profit, Not-for-profit
Subsidy (RDS) Payment Request and DEPARTMENT OF HEALTH AND
institutions, Federal, State, Local or
Instructions; Form Number: CMS–10170 HUMAN SERVICES
Tribal Government; Number of
(OMB#: 0938–0977); Use: Under section Centers for Medicare & Medicaid Respondents: 6,051; Total Annual
1860D–22 of the Social Security Act Services Responses: 12,500,000; Total Annual
(Act), added by the Medicare Hours: 208,333.
Prescription Drug, Improvement and [Document Identifier: CMS R–193 and CMS– 2. Type of Information Collection
Modernization Act of 2003, plan 2567] Request: Extension of a currently
sponsors (employers, unions) who offer approved collection; Title of
prescription drug coverage to their Agency Information Collection Information Collection: Statement of
qualified covered retirees are eligible to Activities: Submission for OMB Deficiencies and Plan of Correction
receive a 28 percent tax-free subsidy for Review; Comment Request contained under 42 CFR 488.18, 488.26,
allowable drug costs. To receive the AGENCY: Centers for Medicare & and 488.28; Form Number: CMS–2567
subsidy, plan sponsors must submit Medicaid Services, HHS. (OMB#: 0938–0391); Use: Section
required prescription cost data. CMS 1864(a) of the Social Security Act
has contracted with an outside vendor In compliance with the requirement requires that the Secretary use State
(ViPS) to assist in the administration of of section 3506(c)(2)(A) of the survey agencies to conduct surveys. The
the retiree drug subsidy (RDS) program; Paperwork Reduction Act of 1995, the surveys are used to determine if health
this effort is called the RDS Center. Plan Centers for Medicare & Medicaid care facilities meet Medicare, Medicaid,
sponsors will request subsidy payments Services (CMS), Department of Health and Clinical Laboratory Improvement
on-line by logging on to the RDS secure and Human Services, is publishing the Amendments (CLIA) participation
Web site. Cost data required for each following summary of proposed requirements. The Statement of
payment request may be entered into collections for public comment. Deficiencies and Plan of Correction
the RDS secure Web site, or uploaded to Interested persons are invited to send form, is used to record each deficiency
the RDS Center mainframe. Once the comments regarding this burden discovered during an inspection.
plan sponsor submits the payment estimate or any other aspect of this Providers, suppliers and CLIA
request, the RDS Center will process the collection of information, including any laboratories also utilize this form to
request to determine if payment is due of the following subjects: (1) The outline a corrective action plan for each
and the amount of the payment. necessity and utility of the proposed deficiency. The States and CMS regional
Frequency: Recordkeeping and information collection for the proper offices use this form to document and
Reporting—Monthly, Quarterly and performance of the Agency’s function; certify compliance, and to disclose
Annually; Affected Public: Not-for-profit (2) the accuracy of the estimated information to the public; Frequency:
institutions, Business or other for-profit, burden; (3) ways to enhance the quality, Recordkeeping, Third party disclosure
Federal Government, State, Local, or utility, and clarity of the information to and Reporting—Annually and
Tribal Government; Number of be collected; and (4) the use of Biennially; Affected Public: Business or
Respondents: 6,000; Total Annual automated collection techniques or other for-profit, Not-for-profit
Responses: 6,000; Total Annual Hours: other forms of information technology to institutions, Federal, State, Local or
222,000. minimize the information collection Tribal Government; Number of
To obtain copies of the supporting burden. Respondents: 60,000; Total Annual
statement and any related forms for the 1. Type of Information Collection Responses: 60,000; Total Annual Hours:
proposed paperwork collections Request: Extension of a currently 120,000.
referenced above, access CMS’ Web site approved collection; Title of To obtain copies of the supporting
address at http://www.cms.hhs.gov/ Information Collection: Important statement and any related forms for
regulations/pra/, or E-mail your request, Message from Medicare Title XVII these paperwork collections referenced
including your address, phone number, Section 1866(a)(1)(M), 42 CFR Sections above, access CMS Web site address at
OMB number, and CMS document 466.78, 489.20, and 489.27; Form http://www.cms.hhs.gov/regulations/
identifier, to Paperwork@cms.hhs.gov, Number: CMS–R–193 (OMB#: 0938– pra/, or e-mail your request, including
wwhite on PROD1PC61 with NOTICES
or call the Reports Clearance Office on 0692); Use: Hospitals participating in your address, phone number, OMB
(410) 786–1326. the Medicare program are required to number, and CMS document identifier,
To be assured consideration, distribute the ‘‘Important Message From to Paperwork@cms.hhs.gov, or call the
comments and recommendations for the Medicare’’ to all Medicare beneficiaries Reports Clearance Office on (410) 786–
proposed information collections must (including those enrolled in a Medicare 1326.
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76290 Federal Register / Vol. 70, No. 246 / Friday, December 23, 2005 / Notices
by statute, for the sake of completeness Regulations Development Group, FR 36891, and 53 FR 50577) published
of the listing, and to foster more open Centers for Medicare & Medicaid in 1988, and the notice published March
and transparent collaboration efforts, we Services, C5–14–03, 7500 Security 31, 1993 (58 FR 16837). Those desiring
are also including all Medicaid Boulevard, Baltimore, MD 21244–1850, information on the Medicare NCD
issuances and Medicare and Medicaid or you can call (410) 786–6954. Manual (NCDM, formerly the Medicare
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